NCLEX STUDY GUIDE 2025/2026 EXAM WITH CORRECT SOLUTIONS
The charge nurse has received a change of shift report on the following laboring clients.
The nurse should give priority for treatment to a
A. Client who is 41 weeks pregnant, G2P1, pushing, facial presentation.
B. Client who is 39 weeks pregnant, G3P2, amniotomy performed, thin, green fluid.
C. Client who is 38 weeks pregnant, G1P0, oxytocin infusing, no cervical dilation in 3 hours.
D. Client who is 28 weeks pregnant, G2P1, uterine contractions every 5 minutes, 4 centimeters dilated. -
Correct Answer - A. Client who is 41 weeks pregnant, G2P1, pushing, facial presentation.
explained: for successful vaginal delivery, the fetus should be in a vertex position (I.e., parallel with
maternal spine), flexed (I.e., chin to chest), and cephalic (I.e., head down) presentation
Facial presentation occurs when the fetal head is fully extended, requiring immediate intervention (e.g.,
emergent cesarean section). delivering vaginally can cause trauma, spinal cord injuries, fetal distress,
and demise.
The nurse is screening clients for those at increased risk for developing metabolic acidosis?
At highest risk for developing metabolic acidosis is the client who
A. Has nausea and vomiting
B. Has sepsis and hypotension
C. Is taking large doses of thiazide diuretics
D. Has decreased oral intake and is dehydrated - Correct Answer - B. Has sepsis and hypotension
The nurse is caring for a postoperative client who has voided 125 mL since the removal of the indwelling
urinary catheter 6 hours ago.